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Official Description

Ipecac or similar administration for individual emesis and continued observation until stomach adequately emptied of poison

© Copyright 2025 American Medical Association. All rights reserved.

Common Language Description

The procedure described by CPT® Code 99175 involves the administration of ipecac or a similar medication to induce emesis, which is the medical term for vomiting. This intervention is specifically utilized in cases of poisoning, where the goal is to empty the stomach of harmful substances. The physician plays a critical role in this process, not only by administering the medication but also by remaining with the patient to monitor their condition closely. This observation is essential to ensure that the stomach is adequately emptied of the poison and to manage any potential complications that may arise during the emesis process. The use of ipecac is a time-sensitive intervention, and the physician's presence is vital for patient safety and effective management of the poisoning situation.

© Copyright 2025 Coding Ahead. All rights reserved.

1. Indications

The procedure associated with CPT® Code 99175 is indicated in specific scenarios where the administration of emetic agents is necessary to address poisoning. The following conditions warrant this intervention:

  • Poisoning The procedure is performed when a patient has ingested a toxic substance, and there is a need to induce vomiting to prevent further absorption of the poison.

2. Procedure

The procedure for CPT® Code 99175 involves several critical steps to ensure the safe and effective administration of ipecac or a similar medication. Each step is designed to facilitate the induction of vomiting and to monitor the patient's response throughout the process.

  • Step 1: Patient Assessment Initially, the physician conducts a thorough assessment of the patient to confirm the need for emesis. This includes evaluating the type of poison ingested, the time of ingestion, and the patient's overall health status.
  • Step 2: Administration of Ipecac Once the assessment is complete, the physician administers ipecac syrup or an equivalent emetic agent. The dosage is determined based on the patient's age and weight, following established guidelines for safe administration.
  • Step 3: Observation After the administration of the emetic, the physician remains with the patient to observe their response. This includes monitoring for the onset of vomiting and ensuring that the stomach is adequately emptied of the poison.
  • Step 4: Post-Emesis Care Following the emesis, the physician continues to monitor the patient for any adverse reactions or complications that may arise. This may involve assessing vital signs and providing supportive care as needed.

3. Post-Procedure

After the procedure, the patient is closely monitored to ensure that they recover safely from the effects of the emetic. The physician assesses the effectiveness of the emesis in clearing the stomach of the poison and watches for any signs of complications. Depending on the patient's condition, further medical intervention may be required. It is also essential to provide the patient with instructions regarding follow-up care and any necessary precautions to take after the procedure.

Short Descr INDUCTION OF VOMITING
Medium Descr IPECAC/SIMILAR ADMN EMESIS&OBS STOMACH EMPTIED
Long Descr Ipecac or similar administration for individual emesis and continued observation until stomach adequately emptied of poison
Status Code Active Code
Global Days XXX - Global Concept Does Not Apply
PC/TC Indicator (26, TC) 5 - Incident To Code
Multiple Procedures (51) 0 - No payment adjustment rules for multiple procedures apply.
Bilateral Surgery (50) 0 - 150% payment adjustment for bilateral procedures does NOT apply.
Physician Supervisions 09 - Concept does not apply.
Assistant Surgeon (80, 82) 0 - Payment restriction for assistants at surgery applies to this procedure...
Co-Surgeons (62) 0 - Co-surgeons not permitted for this procedure.
Team Surgery (66) 0 - Team surgeons not permitted for this procedure.
Diagnostic Imaging Family 99 - Concept Does Not Apply
APC Status Indicator Items and Services Packaged into APC Rates
Type of Service (TOS) 1 - Medical Care
Berenson-Eggers TOS (BETOS) M3 - Emergency room visit
MUE 1
CCS Clinical Classification 98 - Other non-OR gastrointestinal therapeutic procedures
59 Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25.
GC This service has been performed in part by a resident under the direction of a teaching physician
Date
Action
Notes
2011-01-01 Changed Guideline information changed.
Pre-1990 Added Code added.
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